Quantcast Scars displayed as dark spots (hyperpigmentation) with virtually no active acne on chest are a sign that the patient is picking and squeezing the lesions.  This image displays redness without active acne lesions from rubbing and picking at acne. This image displays acne with bloody crusts as a result of manipulating the lesions. This image displays acne scars and new acne lesions, with crust, on both cheeks. This image displays the result of squeezing and picking at acne on people with darker skin. This image displays flat, brown blemishes, a result of acne inflammation of the skin in a black patient.  This image displays acne lesions that have been picked or squeezed. The bloody crust on the center acne lesion is a sign that it has been manipulated. This image displays dark spots and scars, a consequence of manipulating acne lesions.
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Picture of Acne Excoriée: Scars displayed as dark spots (hyperpigmentation) with virtually no active acne on chest are a sign that the patient is picking and squeezing the lesions.  Divider line
Scars displayed as dark spots (hyperpigmentation) with virtually no active acne on chest are a sign that the patient is picking and squeezing the lesions.
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Self-Care Guidelines
There is no cure for acne. Acne can result in scarring, so minimizing breakouts is important.

Traditional treatments can help. Cleanse the acne-prone areas with gentle soaps or cleansers, and avoid irritants, such as rubbing and other alcohols, and abrasive scrubs and greasy products on the skin and in the scalp. Products labeled "water-based" or "noncomedogenic" will help reduce clogged pores.

There are also a variety of over-the-counter medications that may help. These are meant to be preventative therapies and should be applied in a thin layer to the entire area on a regular basis. If applied consistently you may see small improvements quickly, but results are generally seen after a few months. Benzoyl peroxide (most effective), is available in a variety of forms and strengths. Benzoyl peroxides tend to dry the skin, though, so if you have dry skin, use a weaker-concentration product; for oily skin, consider higher strengths. It can also bleach your clothing and towels. Peeling agents (exfoliants) such as salicylic acid, sulfur, resorcinol, and alpha-hydroxy acids (glycolic, lactic, pyruvic, and citric acid) can also help but will cause some dryness of the skin as well.

In acne excoriée, the habit of picking at the skin must be stopped. This habit may still persist after the acne has improved and may require behavioral therapy or counseling.
When to Seek Medical Care
Seek professional care if you have moderate or severe acne that has not improved enough with self-care. Speak with your doctor if you have any feelings of depression or anxiety.
Last Modified: 2 Mar 2008
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